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báo cáo sinh học:" Leveraging human capital to reduce maternal mortality in India: enhanced public health system or public-private partnership?"

Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : Leveraging human capital to reduce maternal mortality in India: enhanced public health system or public-private partnership? | Human Resources for Health BioMed Central Open Access Review Leveraging human capital to reduce maternal mortality in India enhanced public health system or public-private partnership Karl Krupp1 and Purnima Madhivanan 1 2 Address Public Health Research Institute Yadavgiri Mysore India and 2San Francisco Department of Public Health San Francisco CA USA Email Karl Krupp - karl_krupp@phrii.org Purnima Madhivanan - mpurnima@berkeley.edu Corresponding author Published 27 February 2009 Received II November 2008 Human Resources for Health 2009 7 18 doi 10.1186 1478-4491-7-18 Accepted 27 February 2009 This article is available from http www.human-resources-health.cOm content 7 1 18 2009 Krupp and Madhivanan licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Developing countries are currently struggling to achieve the Millennium Development Goal Five of reducing maternal mortality by three quarters between 1990 and 2015. Many health systems are facing acute shortages of health workers needed to provide improved prenatal care skilled birth attendance and emergency obstetric services - interventions crucial to reducing maternal death. The World Health Organization estimates a current deficit of almost 2.4 million doctors nurses and midwives. Complicating matters further health workforces are typically concentrated in large cities while maternal mortality is generally higher in rural areas. Additionally health care systems are faced with shortages of specialists such as anaesthesiologists surgeons and obstetricians a maldistribution of health care infrastructure and imbalances between the public and private health care sectors. Increasingly policy-makers have been turning to human resource strategies to cope with staff .